高黏度骨水泥经皮椎体成形术治疗骨质疏松性胸腰椎骨折患者的效果  

Effects of high viscosity bone cement percutaneous vertebroplasty in treatment of patients with osteoporotic thoracolumbar fractures

作　　者：李卫新 LI Weixin(Department of Orthopaedic of Renhe Hospital of Traditional Chinese Medicine,Shangqiu 476000 Henan,China)

机构地区：[1]商丘仁和中医院骨科,河南商丘476000

出　　处：《中国民康医学》2025年第5期57-60,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察高黏度骨水泥经皮椎体成形术治疗骨质疏松性胸腰椎骨折患者的效果。方法:回顾性分析2021年7月至2023年3月该院收治的82例骨质疏松性胸腰椎骨折患者的临床资料,按手术方案不同将其分为对照组(n=41)和观察组(n=41)。对照组采用低黏度骨水泥经皮椎体成形术治疗,观察组采用高黏度骨水泥经皮椎体成形术治疗,比较两组手术前后腰椎功能[Oswestry功能障碍指数(ODI)]评分、骨折椎体后凸Cobb角、骨折椎体高度、疼痛程度[视觉模拟评分法(VAS)]评分,以及术后6个月并发症发生率。结果:术后,两组ODI评分均低于术前,且观察组低于对照组,两组骨折椎体后凸Cobb角均小于术前,且观察组小于对照组,差异有统计学意义(P<0.05);术后,两组骨折椎体前缘、中线、后缘高度均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);术后,两组VAS评分均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为4.88%(2/41),低于对照组的34.15%(14/41),差异有统计学意义(P<0.05)。结论:高黏度骨水泥经皮椎体成形术治疗骨质疏松性胸腰椎骨折患者可提高骨折椎体高度,减小骨折椎体后凸Cobb角,降低ODI、VAS评分和并发症发生率,效果优于低黏度骨水泥经皮椎体成形术治疗。Objective:To observe effects of high viscosity bone cement percutaneous vertebroplasty in treatment of patients with osteoporotic thoracolumbar fractures.Methods:The clinical data of 82 patients with osteoporotic thoracolumbar fractures admitted to this hospital from July 2021 to March 2023 were retrospectively analyzed.According to different surgical procedures,they were divided into control group(n=41)and observation group(n=41).The control group was treated with low viscosity bone cement percutaneous vertebroplasty,while the observation group was treated with high viscosity bone cement percutaneous vertebroplasty.The lumbar function [Oswestry dysfunction index(ODI)] score before and after the surgery,the kyphosis Cobb angle of the fractured vertebral body,the vertebral height of the fractured vertebral body,the pain degree [visual analogue scale(VAS)] score,and the incidence of complications 6 months after the surgery were compared between the two groups.Results:After the surgery,the ODI scores of the two groups were lower than those before the surgery,and that in the observation group was lower than that in the control group;the kyphosis Cobb angles of the fractured vertebral body in the two groups were smaller than those before the surgery,and that in the observation group was smaller than that in the control group;and the differences were statistically significant(P<0.05).After the surgery,the anterior height,midline height and posterior height of fractured vertebral body in the two groups were higher than those before the surgery,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the surgery,the VAS scores of the two groups were lower than those before the surgery,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 4.88%(2/41),which was lower than 34.15%(14/41) in the control

关 键 词：骨质疏松性胸腰椎骨折 高黏度骨水泥 低黏度骨水泥 经皮椎体成形术 椎体高度 腰椎功能 COBB角 

分 类 号：R683.2[医药卫生—骨科学]